Provider Demographics
NPI:1558258772
Name:ROBBINS, JORDAN HUNTER (ALC, MED, NCC)
Entity type:Individual
Prefix:MR
First Name:JORDAN
Middle Name:HUNTER
Last Name:ROBBINS
Suffix:
Gender:M
Credentials:ALC, MED, NCC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:435 SADDLEWOOD CV
Mailing Address - Street 2:
Mailing Address - City:COLUMBIANA
Mailing Address - State:AL
Mailing Address - Zip Code:35051-4169
Mailing Address - Country:US
Mailing Address - Phone:205-907-5016
Mailing Address - Fax:
Practice Address - Street 1:42505 HIGHWAY 25
Practice Address - Street 2:
Practice Address - City:VINCENT
Practice Address - State:AL
Practice Address - Zip Code:35178-6159
Practice Address - Country:US
Practice Address - Phone:205-682-7341
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2025-06-20
Last Update Date:2025-06-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
ALALCO4563101Y00000X
ALJHR-0104-3755101YS0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YS0200XBehavioral Health & Social Service ProvidersCounselorSchool
No101Y00000XBehavioral Health & Social Service ProvidersCounselor